VARIABLE ANNUITY CONTRACT CONTRACT NUMBER Single Payment Deferred Variable Annuity Annuitant JOHN DOE With Additional Purchase Payment Option Date of Issue OCTOBER 21, 1995 Accumulation of Values on a Variable Basis Issue Age 20 Annuity Payment...Annuity Contract Contract • May 19th, 1997 • First Investors Life Variable Annuity Fund C
Contract Type FiledMay 19th, 1997 Company